My husband often could not answer questions during oral mmse testing but if given the question orally and the answer in written multiple choice format, he scored considerably better, (e.g. if asked in what city do you live and given a list of 20 cities, he could either point to or say the correct answer). As the dementia progressed, using this format would allow further testing using mmse and potentially further participation in clinical trials. Caregivers would have to aid the study director in creating the modified mmse initially but the same list of answers would be used throughout the study.
Idea No. 305